Hospital Costs > In Texas > Longview Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 180 | 384 / 43 | $104.676,00 | 2529 / 201 | $12.839,50 | 587 / 59 | $10.456,50 | 581 / 72 |
Pulmonary Edema & Respiratory Failure | 59 | 144 / 28 | $65.594,20 | 2000 / 137 | $7.413,71 | 682 / 31 | $6.570,00 | 682 / 43 |
Spinal Fusion Except Cervical W/O Mcc | 59 | 135 / 27 | $165.025,00 | 1175 / 95 | $25.484,30 | 26 / 49 | $17.457,70 | 26 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 54 | 462 / 111 | $84.297,20 | 2482 / 175 | $10.861,00 | 848 / 49 | $9.987,67 | 847 / 75 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 40 | $48.234,40 | 2142 / 148 | $6.844,13 | 544 / 28 | $5.811,94 | 543 / 43 |
Heart Failure & Shock W Mcc | 52 | 232 / 71 | $64.819,70 | 2265 / 162 | $8.827,19 | 996 / 50 | $8.292,42 | 995 / 77 |
Heart Failure & Shock W Cc | 51 | 227 / 63 | $41.392,90 | 2366 / 168 | $5.880,98 | 847 / 37 | $5.171,96 | 846 / 63 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 60 | $45.064,80 | 2462 / 180 | $5.781,77 | 1030 / 32 | $5.101,77 | 1027 / 81 |
Renal Failure W Cc | 46 | 175 / 61 | $32.448,90 | 1813 / 112 | $5.703,89 | 502 / 31 | $4.759,20 | 498 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 43 | $30.979,60 | 2164 / 158 | $4.396,86 | 757 / 44 | $3.490,68 | 755 / 59 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 74 | $35.047,10 | 2350 / 167 | $4.570,45 | 706 / 31 | $3.569,95 | 702 / 55 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 60 | $76.806,00 | 2317 / 172 | $8.560,19 | 752 / 49 | $7.608,64 | 752 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 56 | $41.045,10 | 2065 / 141 | $6.371,33 | 786 / 35 | $5.464,67 | 784 / 61 |
Cervical Spinal Fusion W/O Cc/Mcc | 35 | 69 / 17 | $97.875,00 | 762 / 63 | $12.735,20 | 254 / 13 | $11.405,70 | 254 / 38 |
Renal Failure W Mcc | 34 | 161 / 63 | $67.601,50 | 1864 / 133 | $9.275,29 | 806 / 46 | $8.555,76 | 806 / 68 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 34 | 162 / 41 | $139.331,00 | 1407 / 122 | $12.369,00 | 427 / 25 | $10.469,40 | 426 / 49 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 40 | $32.083,50 | 1703 / 107 | $4.890,09 | 603 / 40 | $3.917,33 | 600 / 48 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 25 | $29.789,80 | 1702 / 125 | $4.230,61 | 446 / 39 | $3.256,16 | 444 / 29 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 32 | $89.309,90 | 1632 / 107 | $9.812,65 | 495 / 24 | $8.994,06 | 494 / 35 |
G.I. Hemorrhage W Cc | 31 | 187 / 59 | $41.662,40 | 2000 / 124 | $5.994,61 | 1008 / 35 | $5.374,23 | 1006 / 77 |
Extracranial Procedures W/O Cc/Mcc | 30 | 68 / 19 | $60.400,90 | 841 / 66 | $6.307,23 | 312 / 19 | $5.235,67 | 312 / 31 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 44 | $71.505,50 | 1509 / 125 | $6.554,80 | 403 / 26 | $5.312,10 | 401 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 46 | $46.192,30 | 2188 / 140 | $5.571,03 | 951 / 27 | $4.916,14 | 948 / 69 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 55 | $46.665,40 | 1667 / 96 | $6.201,71 | 537 / 21 | $5.255,43 | 536 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 35 | $42.441,40 | 1381 / 78 | $7.161,18 | 509 / 27 | $6.387,46 | 506 / 45 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 17 | $64.887,40 | 693 / 53 | $6.504,22 | 199 / 9 | $5.198,15 | 199 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 83 | $29.841,50 | 2211 / 164 | $4.675,12 | 741 / 42 | $3.786,38 | 736 / 61 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 25 | 91 / 15 | $351.449,00 | 417 / 23 | $39.990,90 | 14 / 1 | $39.073,10 | 14 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 30 | $36.612,00 | 1761 / 141 | $4.467,58 | 470 / 42 | $3.211,79 | 468 / 38 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 48 | $84.944,50 | 1763 / 114 | $11.210,10 | 291 / 28 | $9.713,12 | 290 / 24 |
Syncope & Collapse | 23 | 146 / 42 | $36.222,90 | 1615 / 97 | $4.531,30 | 540 / 25 | $3.588,00 | 538 / 38 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 43 | $138.343,00 | 1739 / 134 | $14.947,60 | 623 / 79 | $12.761,40 | 615 / 59 |
Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 27 | $168.621,00 | 930 / 65 | $19.355,50 | 272 / 11 | $18.372,20 | 272 / 28 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 35 | $34.539,10 | 1832 / 123 | $4.472,43 | 708 / 34 | $3.500,24 | 706 / 51 |
Cellulitis W/O Mcc | 21 | 168 / 68 | $31.574,50 | 2185 / 153 | $5.036,33 | 639 / 32 | $4.004,71 | 636 / 53 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 47 | $52.705,60 | 1930 / 155 | $4.950,80 | 152 / 32 | $3.527,60 | 152 / 15 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 13 | $27.255,60 | 712 / 51 | $4.226,10 | 177 / 21 | $2.880,55 | 176 / 14 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 45 | $30.122,60 | 1755 / 116 | $3.876,15 | 594 / 55 | $2.513,50 | 590 / 44 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 13 | $33.469,10 | 854 / 66 | $4.372,21 | 357 / 16 | $3.479,58 | 354 / 27 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 18 | $125.098,00 | 795 / 46 | $12.706,10 | 286 / 14 | $11.493,60 | 283 / 29 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 23 | $248.271,00 | 855 / 64 | $27.978,40 | 138 / 7 | $27.010,80 | 138 / 12 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 40 | $106.227,00 | 1302 / 99 | $13.474,00 | 924 / 75 | $12.867,90 | 917 / 90 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 16 | $66.146,90 | 762 / 59 | $9.454,71 | 282 / 19 | $8.405,29 | 281 / 29 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 22 | $143.085,00 | 917 / 65 | $15.783,00 | 337 / 19 | $14.781,60 | 336 / 34 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 33 | $119.038,00 | 1337 / 79 | $15.543,20 | 93 / 33 | $11.867,50 | 93 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 38 | $40.100,40 | 1367 / 82 | $4.666,65 | 536 / 20 | $3.670,88 | 532 / 37 |
G.I. Hemorrhage W Mcc | 16 | 105 / 41 | $86.132,70 | 1481 / 97 | $9.823,50 | 147 / 14 | $8.682,12 | 147 / 12 |
Other Vascular Procedures W Cc | 16 | 86 / 38 | $115.591,00 | 948 / 76 | $14.361,20 | 216 / 11 | $13.451,20 | 216 / 22 |
Transient Ischemia | 16 | 109 / 47 | $36.794,50 | 1371 / 78 | $4.383,25 | 384 / 23 | $3.243,25 | 383 / 24 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 31 | $238.530,00 | 860 / 63 | $31.399,30 | 122 / 8 | $30.438,20 | 122 / 13 |
Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 17 | $86.140,30 | 497 / 41 | $9.835,33 | 151 / 6 | $8.868,93 | 150 / 11 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 22 | $39.124,50 | 1039 / 50 | $5.800,40 | 583 / 9 | $5.318,27 | 580 / 39 |
Extracranial Procedures W Cc | 14 | 32 / 13 | $80.600,60 | 333 / 24 | $9.277,21 | 35 / 6 | $7.556,36 | 35 / 3 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 31 | $67.174,40 | 1314 / 95 | $7.908,43 | 380 / 20 | $7.131,29 | 377 / 29 |
Coronary Bypass W/O Cardiac Cath W Mcc | 14 | 45 / 12 | $289.866,00 | 220 / 17 | $29.204,60 | 21 / 2 | $28.429,80 | 21 / 2 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 30 | $214.669,00 | 1086 / 70 | $27.528,50 | 223 / 12 | $26.673,60 | 221 / 24 |
Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 14 | $150.426,00 | 513 / 33 | $19.995,60 | 78 / 4 | $19.218,50 | 78 / 6 |
Diabetes W/O Cc/Mcc | 13 | 25 / 6 | $24.353,70 | 220 / 14 | $3.705,85 | 62 / 3 | $2.820,92 | 62 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 60 | $50.918,20 | 1502 / 114 | $6.591,62 | 513 / 24 | $6.032,85 | 510 / 47 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 19 | $93.413,70 | 715 / 49 | $9.601,23 | 144 / 14 | $7.786,77 | 144 / 15 |
Major Chest Procedures W Mcc | 13 | 36 / 13 | $304.701,00 | 316 / 24 | $31.744,10 | 152 / 13 | $30.909,50 | 152 / 18 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 25 | $25.609,70 | 1017 / 64 | $3.889,25 | 518 / 18 | $2.985,25 | 517 / 45 |
Chest Pain | 12 | 139 / 54 | $36.757,90 | 1535 / 106 | $3.860,50 | 521 / 20 | $2.951,17 | 517 / 34 |
Medical Back Problems W/O Mcc | 11 | 110 / 39 | $36.876,00 | 1188 / 75 | $5.172,64 | 600 / 18 | $4.404,64 | 598 / 43 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 16 | $73.684,30 | 530 / 51 | $7.252,27 | 202 / 12 | $6.149,73 | 202 / 23 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 14 | $121.194,00 | 529 / 21 | $10.445,60 | 185 / 3 | $9.564,18 | 185 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 35 | $166.093,00 | 880 / 66 | $17.866,40 | 159 / 4 | $16.874,40 | 159 / 13 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 15 | $70.556,60 | 450 / 20 | $8.786,00 | 183 / 3 | $7.791,09 | 183 / 8 |
Signs & Symptoms W/O Mcc | 11 | 80 / 31 | $34.426,70 | 1118 / 62 | $4.349,82 | 366 / 16 | $3.474,18 | 365 / 17 | Total 69 procedures | 1.872 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.